Rucha B Shastri, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012262 Issued in IL

Practice address

1804 N Naper Blvd Ste 250
Naperville, IL 60563-8830

Phone

(630) 791-5746

Fax

(630) 283-8841

NPI assigned

Sep 8, 2017

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1508384611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N NAPER BLVD STE 250",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638830",
            "telephone_number": "630-791-5746",
            "fax_number": "630-283-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N NAPER BLVD STE 250",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638830",
            "telephone_number": "630-791-5746",
            "fax_number": "630-283-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "RUCHA",
        "middle_name": "B",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Shaw, LPC
• Courtney Lynn Shaw, MS, OTR/L
• Emmanuel Shaw
• Judith Shaw
• Lashara Shaw, LCPC

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.